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11-0695 (AC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000695 Property -Address:--- 60750 -TRILOGY PKWY APN: 764-270-999-135 -300231- Application description:_ ADDITION - COMMERCIAL , Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 39896 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Applicant: Arr'c'hityct or Engineer - issued. Date: Contract _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -4 BUILDING & SAFETY DEPARTMENT - BUILDING PERMIT Owner: SHEA LA QUINTA 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 e .. ��,_JALM R BUILDERS SEP 02 011 301 BADGER, SUITE #300' 4 it DESERT, CA 922i1 nrO�o. 60)360-6632 1. A �Qi11Ny�c. No..: 693077 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/30/11 Date: Owner: CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERA11T of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws rel g to buil in tru 'on-ar♦d,>ereby authorize representatives of this county tttooenter/'ppon the above-mentioned property for ins purposes Date: -` Signature (Applicant or Agent): - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 t e usin d P fest' als Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class; B ' ense No.: 693077 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /. issued. Date: Contract _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -.- - Code, for the performance of the work for which this permit is issued. My workers' compensation DECLARATION insurance carrier and policy number are: a Contractor's State License Law for the I hereby affirm under penalty of perjury that I�Dior Carrier STATE FUND Policy Number 1960920-2011' following reason (Sec. 7031 .5, Business 'andAny city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any ' construct, alter, improve, demolish, or repair anyo its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Cohtractor's State and agree , at, if I s o ecome subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) �or 3700 of the Labor Cade , I fort .comply with those provisions. that he or she'is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:�v ApplicanLL 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' C PENSA COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, �N SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND Cl FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE ST OF COMP SATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTERES , ND ATTOR Y'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for thepurpose of sale.). APPLICANT ACK WLEDGEMENT (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions The Contractors' State License Law does not apply to ar`owner of conditionsand restrictions set forth on this application. _Code: property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for _ pursuant to the Contractors' State License Law.).. whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERA11T of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws rel g to buil in tru 'on-ar♦d,>ereby authorize representatives of this county tttooenter/'ppon the above-mentioned property for ins purposes Date: -` Signature (Applicant or Agent): Application.Number 11-00000695 LQPERiIMIT Structure Information Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . : . . . LOW HAZARD STORAGE Other struct info . . . . . CODE EDITION 2010 FIRE SPRINKLERS YES OCCUPANT LOAD 3.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 505.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 336.50 Plan Check Fee 218.73 Issue Date Valuation . . . . 37269 Expiration Date 2/26/12 Qty Unit Charge Per Extension BASE FEE 252;.00 <, 13.00 6.5000 ---------------------------------------------------------------------------- THOU BLDG 25,001-50,000 84.50 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 25.10 Plan Check Fee 6.28 Issue Date . . . Valuation . . 0 Expiration Date 2/26/12 Qty Unit Charge Per Extension BASE FEE 15.00 505.00 .0200 ----------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 10.10 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 30.50 Plan Check Fee 7.63 Issue Date Valuation . . . . 0 Expiration Date 2/26/12 Qty Unit Charge Per Extension• BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH AH <=10K CFM 6.50 Special Notes.and Comments 487 SF STORAGE ROOM AND 87 SF HALL ADDITION TO EXISTING SANTA ROSA CLUB. - 2010 CODES. ----------------------------------------------------------------------------- Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 21.87 LQPERiIMIT Application Number 11-00000695 ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG.STDS ADMIN (SB1473) 2.00 ENERGY.REVIEW FEE 21.87. STRONG.MOTION (SMI) - COM 7.83 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 392.10 ------------------------------ .00 .00 392:10 Plan Check Total 232.64 .00 .00 232_.64 Other Fee Total 53.57 .00 00 53.57 Grand Total 678.31, .00 .00 678.31 LQPERMIT 0 In, k - 7 �ra 19 �7-5 Qty of La Quinta Building &I Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: (DC) --10Do Owner's Name: A. P. Number: Address: Legal Description: Contractor: City, ST, Zip: Telephone: Address: Project Description: <5r ..4eN- City, ST, Zip: Telephone: . .......... ........ .......... ....... Par— State Lic. # City Lie. #.-. C -0 ro\ Arch., Engr., Designer: Address:4—e;1--,30 501") 9�—�L AAJE22V-) City., ST, Zip: Cl#— ..... X -X. X Telephone:ei IX..... . ......... . . State Lic. #: C,— lot ezLr) M: ............. Construction Type: V-13 Occupancy: Project type (circle one): New Alter. Repair Demo Name of Contact Person: Sq. Fu I # Stories: # Units: Telephone # of Contact Person: -7(oo --45 Estimated Value of Prqje& APPLICANT: DO NOT. WRITE BELOW Tft"k Submittal Reqld Rec!d -J�,J V PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes.U11 a Reviewed, ready for correctioW . Deposit Plan Check Truss Cafes.. Called Contact Person 61D!lan Check Balance Title 24 Cafes. a Plans picked up 13Y Construction Flood plain plan Plans resubmittedMech anical Grading plan 2'd Review, ready for correctio/-issue) Ift) Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. • Pub. Wks. Appr Date of permit issue -A- School Fees Total Permit Fees L J Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: _ AMOUNT LEVEL ONE AMOUNT: LEVELTWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT': DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: September 2, 2011 Owner's Name: Trilogy at La Quinta Maintenance Phone No. 760 360-6632 Project Address: 60-750 Trilogy Parkway, La Quinta, Ca Project Description: Addition to Commercial Building — Storage Rm and Hall Addition at Santa Rosa APN: 764 390 021 Tract #: Lot #'s: Type of Development: Residential ommercial Industrial Total Square Feet of Building Area: 505 Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: Signature: ****************************** SCHOOL DISTRICT'S REQUIREMENTS FOR T1 - ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project Agreement Existing Not Subject to Fee 17620 65995 Approval Prior to 1/1/87 Requirement Not Number of Sq.Ft. 505 Amount per Sq.Ft. $.47 Amount Collected $237.35 Building Permit Application Completed: Yes/No By:. Jamie T. Brown, Asst. Supt., Business Services Certificate issued by: Marcela Valdez, Construction Analyst Signature: NOTICE.OF 90 DAY PERIOD. FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees., Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall 'serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at thi: time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on ;the date hereof. This Certificate o•' Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to -three (3) such extensions may be granted. :f.!%:c:'r�<fucs:�i::+.ler,-cexti.li�::tie ;�t c�:n�.psi:f3lcc; f«rt: nl3cl,teci :+-"ili)' 11/2010 P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Director To PD: August 11, 2011 From: Les Johnson, Planning -Director Due Date: 'August 17, 2011 Permit #: 11-694-695 Status:. 2nd Building Plans Approval. (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: Storage (Trilogy) Address or General Location: 60-750 Trilogy Parkway Applicant Contact: Frank Rodriquez (760)779-5393 The Planning Department finds that: ❑ ...these Building Plans do not require Planning Department approval. ...these Building Plans are approved by the Planning Department. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Planning Department for review. Les Johnso , Director -Planning Date I" Ned AUG 12 2011 City of La Quinta Planning Department, BUILDING ENERGY ANALYSIS REPORT PROJECT: Trilogy Golf Club -Aerobics & Storage 60 -Trilogy Parkway Laauuinta,-CA 92253 • r Project ,Designer: Prest Vuksic Architects 44-530 San Pablo Ave. Suite200 Palm Desert, Ca 92260 - (760) 779-5393 { Report Prepared by: ` Tim Scott - Scott Design'. and Title 24, Inc, ,* q 77-085 Michigan Drive Palm Desert, Ca 92211 (760) 200-4780 CITY�OF LA QUINTA } t BUILDING- & SAFETY DEPT. APPROVED FOR CONSTRUCTION Job Number:' PATE .30� BY Date: AUG.I 1 2011 7/28%2011 By The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC — www.energysoft.com. Energ Pro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-07-28T12:59:38 ID 4 4 r PLRFORMANCE CERTIFICATE OF COMPLIANCE (Part 1 of 3) PERF -1 C Project Name Date rilogy Golf Club -Aerobics & Storage 7/28/2011 Project Address Climate Zone Total Cond. Floor Area Addition Floor Area 60800 Trilogy Parkway La Quinta CA Climate Zone 15 1,405 n/a GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Relocatable - indicate ❑ specific climate zone ❑ all climates Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration STATEMENT OF COMPLIANCE This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to a Building using the performance compliance approach. The documentation author hereby certifies that the documentation is accurate and co tete. Documentation Author Name Tim Scott Signature Company p Scott Design and Title 24, Inc, Date 728/1011 Address 77-085 Michigan Drive Phoned (760) 200-4780 �Y City/State/Zip Palm Desert, Ca 92211 l' Ok v43 -� ':5— 7CG am The Principal Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the energy efficiency requirements contained in sections 110, 116 through 118, and 140 through 149 of Title 24, Part 6. Please check one: ENV. LTG. MECH. I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to ❑ ❑ ❑ sign this document as the person responsible for its preparation; and that I am licensed in the State of California as a civil engineer, mechanical engineer, electrical engineer, or I am a licensed architect. affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code by section ❑ ❑ ❑ 5537.2 or 6737.3 to sign this document as the person responsible for its preparation; and that I am a licensed contractor performing this work. I affirm that I am eligible under Division 3 of the Business and Professions Code to sign this document ❑ ❑ ❑ because it pertains to a structure or type of work described as exempt pursuant to Business and Professions Code Sections 5537, 5538 and 6737.1. Principal Envelope Designer [Signature Name Prost Vuksic Architects Company Prost Vuksic Architects Date Address 44-530 San Pablo Ave. Suite200 License # City/State/Zip Palm Desert Ca 92260 Phone 60) 779-5393 Principal Mechanical Designer Name Tim Scott Signature Company Scott Design and Title 24, Inc. Date I I" l( Address 77-085 Michigan Drive License # City/State/Zip Palm Desert, Ca 92211 Phone (760) 200-4780 Principal Lighting Designer Name Prest Vuksic Architects Signature Company Prost Vuksic Architects Date Address 44-530 San Pablo Ave. Suite200 License # City/State/Zip Palm Desert, Ca 92260 Phone (760) 779-5393 INSTRUCTIONS TO APPLICANT COMPLIANCE & WORKSHEETS (check box if worksheets are included) m ENV -1C Certificate of Compliance. Required on plans. m MECH-1C Certificate of Compliance. Required on plans. m LTG -1C Certificate of Compliance. Required on plans. m MECH-2C Air/Water Side/Service Hot Water & Pool Requirements. m LTG -2C Lighting Controls Credit Worksheet. m MECH-3C Mechanical Ventilation and Reheat. ❑ LTG -3C Indoor Lighting Power Allowance.. m MECH-5C Mechanical Equipment Details. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28T12:59:38 ID: Page 3 of 27 1 ' rroTn RFORMANCE CERTIFICATE OF COMPLIANCE (Part 2 of 3) 'PERF -1 C ect NameDate o Golf Club -Aerobics & Storage 7/28/2011 ANNUAL TDV ENERGY USE SUMMARY kBtu/s ft- r 4 Standard, Proposed Compliance Energy Component Design Design Margin'-- Space Heating 'Space Cooling Indoor Fans Heat Rejection Pumps & Misc. , Domestic Hot Water Lighting Receptacle Process Process Lighting TOTALS - 0.49 1.45 -0.96 175.85 153.80 22.05 57.15 76.78 -19.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59:90 51.99 7.91 43.57 43.57 0.00 0.00 0.00 0.00 0.00 - 0.00 0.00 336.96 327.59 9.37 Heating Cooling14; Fans . C . V.Heat Ref SFV• Pumps ! DH W b Lighting x Receptacle 4,4 x }` & ' f a° Process 1 $ k Process Ltg t #. Percent better than Standard F 2.8%1 2.8 % excludinprocess) BUILDING COMPLIES GENERAL INFORMATION ' Building Orientation (E) 90 deg Conditioned. Floor Area 1,405 sqft Number of Stories 1 Unconditioned Floor Area 0 sqft. Number of Systems 2 Conditioned Footprint Area 1.405 sqft. Number of Zones 2 Natural Gas Available On Site Yes Orientation Gross Area Glazinq Area Glazino Ratio Front Elevation Left Elevation Rear Elevation Right Elevation Total Roof (E) 145 (S) .548 (1M 221 (N) 780 1,694 906 sqft. sqft. sqft. sqft.. sqft. ' sqft. sqft. sqft. sqft. sqft. sqft. sqft. 0.0% 17.4% 11.5% 3.8% 8.9% 0.0% Standard Proposed Prescriptive Values for Prescriptive Lighting Power Density 0.856 W/sgft. 0.743 W/sgft• Comparison only. See Prescriptive Envelope TDV Energy 65,969 103,716 LTG -1C for allowed LRD.. Remarks: A EnemyPro6lbyEnemySoft User Number: 6712 RunCode: 2011-07-28712:59:38 ID: - Page 4 of 27 0 96 26 30 151 0 sqft. sqft. sqft. sqft. sqft. sqft. 0.0% 17.4% 11.5% 3.8% 8.9% 0.0% Standard Proposed Prescriptive Values for Prescriptive Lighting Power Density 0.856 W/sgft. 0.743 W/sgft• Comparison only. See Prescriptive Envelope TDV Energy 65,969 103,716 LTG -1C for allowed LRD.. Remarks: A EnemyPro6lbyEnemySoft User Number: 6712 RunCode: 2011-07-28712:59:38 ID: - Page 4 of 27 i 4 4 PtRFORMANCE CERTIFICATE OF COMPLIANCE (Part 3 of 3) PERF-1 C Project Name Trilogy Golf Club-Aerobics & Storage Date 7/28/2011 ZONE INFORMATION System Name Zone Name Floor Inst. Area LPD Occupancy Type s ft. W/sf' Ctrl Allowed LPD Proc. Credits Area Tailored Loads W/Sf 2 W/Sf 3 W/Sf ° W/Sf HVAC - 1 Aerobics Exercise, Gymnasium 900 0.920 HVAC -2 Storage All Others 505 0.535 0.107 Notes: 1. See LTG-1 C 2. See LTG-2C 3. See LTG-3C 4. See LTG-4C items marked with asterisk, see LTG-1-C by others) (by others Items above require special documentation ;EXCEPTIONAL CONDITIONS COMPLIANCE CHECKLIST -The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justifications, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The HVAC System HVAC - 1 incorporates HERS verified Duct Leakage. Target leakage is calculated and documented on the MECH-4A. The exceptional features listed in this performance approach application have specifically been reviewed. Adequate written justification and documentation for their use have been provided by the applicant. Authorized Signature or Stamp Energ Pro 5.1 by Energ Soft User Number: 6712 RunCode: 2011-07-28T12:59:38 ID: Page 5 of 27 C C 9 ERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 Project Address 60800 Trilogy Parkway La Quinta Climate Zone 15 Total Cond. Floor Area 1,405 Addition Floor Area n/a GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Bledlocatable g. Public School m Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space z 8000 ft2 (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 90 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID AssemblyType y a` c3 ;a c N m W 62 °`o u U. :5v¢ >> c d w> 0 of c w�i ° m S> a ° c ��. x 'Cc a •$a v c L)ra uyi a U. 1 Roof 900 (N) 0.025 R-38 4.2.1-A21 New ❑ ❑ 2 Wall 460 (NE) 0.178 R-21 4.3.3-A6 New ❑ ❑ 3 Wall 210 (S) 0.178 R-21 4.3.3-A6 New ❑ ❑ 4 Wall 146 (NIA 0.178 R-21 4.3.3-A6 New ❑ ❑ 5 Slab 900 (N) 0.730 None 4.4.7-A1 New ❑ ❑ 6 Roof 6 (N) 0.025 R-38 4.2.1-A21 New ❑ ❑ 7 Wall 290 (N) 0.178 R-21 4.3.3-A6 New ❑ ❑ 8 Wall 145 (E) 0.178 R-21 4.3.3-A6 New ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID Fenestration Type A Q CC r y W c O Z r K lC ALL n r t0 4 o M cn U k w :i' 7 x o N N c d > O g N C o 0 cn y a a 1 Window 30 (NE) 0.510 NFRC 0,4601 NFRC ❑ New ❑ ❑ 2 Window 96 (S) 0.510 NFRC 0.460 NFRC ❑ New ❑ ❑ 3 Window 26 (NM 0.510 NFRC 0.460 NFRC ❑ New ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnergyPro 5.1 by EnergySoft User Number., 6712 Run Code: 2011-07-28712:59:38 ID: Pae 6 of 27 • • CERTIFICATE OF COMPLIANCE (Part 1 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club -Aerobics & Storage Date 1 7/28/2011 Project Address 60800 Trilogy Parkway La Quinta Climate Zone 15 Total Cond. Floor Area 1,405 Addition Floor Area n/a GENERAL INFORMATION Building Type: m Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ RRlellocatable Public School to Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space z 8000 ft2 (If checked include the ENV -4C with submittal) Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Approach of Compliance: ❑ Component m Overall Envelope ❑ Unconditioned (file affidavit) Front Orientation: N, E, S, W or in Degrees: 90 deg FIELD INSPECTION ENERGY CHECKLIST OPAQUE SURFACE DETAILS INSULATION Ta /ID Assembly Type ,F •C Q Ems:O N y If OZ U li n .T.' � '� ; UM L 61 W 0 � C d W {L y 7y Ci -LL x C d -7Q �_ C UN y IL LL 9 Wall 242 (S) 0.178 R-21 4.3.3-A6 New ❑ ❑ 10 Wall 50 (W) 0.178 R-21 4.3.3-A6 New ❑ ❑ 11 Slab 505 (N) 0.730 None 4.4.7-A1 New ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail, then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. A fail does not meet compliance. FENESTRATION SURFACE DETAILS Tag/ID Fenestration Type d a` C cN N W 2 $ x {L > c 2 IL > N V x= x Cn 2 0 y O m > > N O .�. Urn U) a . U. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ LE3 ❑ 1. See Instructions in the Nonresidential Compliance Manual, page 3-96. 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28712:59:38 /D: Page 7 of 27 1� 0 • CERTIFICATE OF COMPLIANCE (Part 2 of 3) AND FIELD INSPECTION ENERGY CHECKLIST ENV -1 C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 ROOFING PRODUCT COOL ROOFS (Note if the roofing product is not CRRC certified, this compliance approach cannot be used). Go to Overall Envelope Approach or Performance Approach. CHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENTS: Pass Fail' N/A ❑ Roofing compliance not required in Climate Zones 1 andl6 with a Low -Sloped. 2:12 pitch or less. ❑ ❑ ❑ ❑ Roofing compliance not required in Climate Zone 1 with a Steep -Sloped with less than 5 Ib/ft2. Greater than 2:12 pitch. ❑ ❑ ❑ Wood framed roofs in Climate Zones 3 and 5 are exempted, solar reflectance and thermal emittance or [3SRI SRI that have a LI -factor of 0.039 or lower. See Opaque Surface Details roof assembly, Column H of ENV -2C. 13 13 [3 ❑ Low -sloped Metal building roofs in Climate Zone 3 and 5 are exempted, solar relectance and thermal emittance or SRI that have a U -factor of 0.048 or lower. See Opaque Surface Details roof assembly below, Column H of ENV -2C. ❑ ❑ ❑ ❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempted. Solar reflectance and thermal emittance or SRI, seespreadsheet calculator at www.ener .ca. ov/title24/ ❑ ❑ ❑ 13 Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft are exempt from the Cool Roof criteria below. ❑ ❑ ❑ ❑ High-rise residential buildings and hotels and motels with low -sloped roofs in Climate Zones 1 through 9, 12 and 16 are exempted from the low -sloped roofing criteria. ❑ ❑ ❑ 1. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. CRRC Product ID Number' Roof Slope s 2:12 > 2:12 Product Weight < 51b/ft2 a 51b/ft2 Product Type 2 Aged Solar Reflectance Thermal Emmitance SR 15 Pass Fail6 ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 ❑ ❑ ❑ ❑ ❑ ❑ ❑° 1❑ ❑ ❑ ❑ ❑ ❑ ❑ ° ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑4 ❑ ❑ 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/r)roducts/search.phi) 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(p;niva,— 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance from the Cool Roof Rating Council's Rated Product Directory. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. The SRI value needs to be calculated from a spreadsheet calculator at htto://www.energv.ca.00v/title24/ 6. If Fail then describe on this page of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other Discrepancies: I EnemyPro 5.1 by EnemySoft User Number: 6712 Run Code: 2011-07-28T12:59:38 ID: Page 8 of 27 • dERTIFICATE OF COMPLIANCE (Part 3 of 3) ENV -1 C AND FIELD INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for Envelope Fenestrations system. The designer is required to check the acceptance tests and list all the fenestration products that require an acceptance test. If all the site -built fenestration of a certain type requires a test, list the different fenestration products and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or whenever new fenestration is installed in the building or space shall be certified as meeting the Acceptance Requirements. The ENV -2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the ENV -2A for each different fenestration product line must be provided to the owner of the building for their records. Test Description ENV -2A Test Performed By: Fenestration Products Name or ID Area of like Building Envelope Requiring Testing or Verification Products Acceptance Test Double Metal Tinted 151 13 13 13 13 13 13 13 13 13 13 13 13 13 11 EnemyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28T12:59:38 ID: Page 9 of 27 ERTIFICATE OF COMPLIANCE, (Part 1 of 3) LTG -1 C —77 oject Name V�n'! ate lgy Golf Club -Aerobics & Storage7/28/2011 DOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG -1- INST (Retain a copy and verify form is completed and signed.)' 4 Field -Inspector ❑ r ERTIFICATE OF COMPLIANCE, (Part 1 of 3) LTG -1 C —77 oject Name V�n'! ate lgy Golf Club -Aerobics & Storage7/28/2011 DOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Installation Certificate, LTG -1- INST (Retain a copy and verify form is completed and signed.)' 4 Field -Inspector ❑ Certificate of Acceptance, LTG -2A and LTG -3A (Retain a copy and verify form is completed and signed.) Field Inspector ❑ - A separate Lighting Schedule Must Be Filled Out for Conditioned and Unconditioned Spaces Installed Lighting Power listed on this Lighting Schedule is only for: 0 CONDITIONED SPACE ❑ UNCONDITIONED SPACE The actual indoor lighting power listed below includes all installed permanent and portable lighting systems in accordance ® with §146(a). Only for offices: Up to the first 0.2 watts per square foot of portable lighting shall not be required to be included in the 0 calculation of actual indoor lighting power density in accordance with the Exception to §146(a). All portable lighting in excess of 0.2 watts per square foot is totaled below. Luminaire (Type, Lamps, Ballasts Installed Watts - A f B C D E F G H _ . How wattage" r Field Was determined klns °ector. None r N ,_ a m CEC C O. :O r� N ;, .c. � o � or Complete Luminaire Description' E E Default • m a N � �w Item '. • (i.e, 3 lamp fluorescent troffer,' J From NAS o • o r Q ~ > > Z c `� ku Ta F32T8, one dimmable electronic ballasts (2) 13W (2) 13w Compact Fluorescent 36.0 0 ❑ 231 828 ❑ D> (2) 2X4 (2) 4 ft Fluorescent T8 54.0 ® ❑ 5 270 ❑ ; A ❑ ❑ ❑❑>a ❑ ❑ x El d❑,a ' ❑ ❑ ❑ ;❑ ". ❑ ❑ ❑ ❑❑ ❑ d ❑ ❑ `❑ ffiR ❑ ;,;g; El ❑p❑�, ' ❑ ❑ f❑,'. {y❑ Installed Watts Page Total: 1,098 <. Installed Watts Building Total Building total number of pages: { Sum of all a es r< Enter LTG -1C Page 4 of 4 1.098 1. Wattage shall be determined according to Section 130 (d and e). Wattage shall be rating of light fixture, not rating of bulb.` 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28712:59:38 ID: Pae 10 of 27 �• Y t, CERTIFICATE OF COMPLIANCE (Part 2 of 3) LTG.1 C Project Name Date . Trilogy Golf Club -Aerobics & Storage 7/28/2011 INDOOR LIGHTING SCHEDULE and FIELD INSPECTION ENERGY CHECKLIST Fill in controls for all spaces: a) area controls, b) multi-level controls, c) manual daylighting controls for daylit areas > 250 ft2, automatic daylighting controls for daylit areas > 2,500 ft2, d) shut-off controls, e) display lighting controls, f) tailored lighting controls — general lighting controlled separately from display, ornamental and display case lighting and g) demand responsive automatic controls for.retail stores > 50,000 ft2, in accordance with Section 131. ld MANDATORY -LIGHTING CONTROLS — FIELD INSPECTION ENERGY CHECKLIST In`s ecto`r` Number Special Type/ Description of Units Location in Building Features PasseFait ❑. g❑R ❑ „ ❑ ❑p ❑ ❑ ❑`'^. ❑ ❑: ❑;. ❑ El EQ ❑ ae ❑ �"` a Dr;.'.: ' ❑ "�uD x? ❑t r ❑a'D, A ❑ •st �: i ❑aaE`... D �,❑. ❑ ' t ' ❑ k C ❑ �'x [ ❑?t`',� r ❑ ❑,.aD' s SPECIAL FEATURES INSPECTION CHECKLIST See Page 2 of 4 of LTG -1C The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise. complies based on the adequacy of the special justification and documentation submitted. Field Inspector's Notes or Discrepancies: EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Pae 11 of 27 1 • a M 1 1� ERTIFICATE OF COMPLIANCE Part 3 of 3 LTG -1 C Project Name Date Trilogy Golf Club -Aerobics & Storage 1 7/28/2011 CONDITIONED AND UNCONDITIONED SPACE LIGHTING MUST NOT BE COMBINED FOR COMPLIANCE Indoor Lighting Power for Conditioned S aces Indoor Lighting Power for Unconditioned Spaces Watts Watts Installed Lighting 1,098 Installed Lighting 0 from Conditioned LTG -1C, Page 2 from Unconditioned LTG -1C, Page 2 Lighting Control Credit _ 54 Lighting Control Credit _ 0 Conditioned Spaces from LTG -2C Unconditioned Spaces from LTG -2C Adjusted Installed 1044 Adjusted Installed = 0 Lighting Power Lighting Power Complies if Installed:5 Allowed Complies if Installed:5 Allowed Allowed Lighting Power 1'044 Allowed Lighting Power Conditioned Spaces from LTG -3C or PERF -1 Unconditioned Spaces from LTG -3C)0 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, LTG -2A and LTG -3A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The LTG -2A and LTG -3A forms are not considered complete forms and are not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the LTG -2A and LTG -3A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. LTG -2A and Luminaires Controlled LTG -3A Controls and Sensors and Number of Automatic Luminaires Daylighting Controls Equipment Re uirin Testing Description controlled Location Acceptance Occ Sensor- Multi -Level (2) 4 ft Fluorescent T8 5 Storage/Hall m ❑ ❑ EnergyPro 5.1 by EnergySoh User Number., 6712 Run Code: 2011-07-28T12:59:38 ID: Pae 12 of 27 r: i ERTIFICATE OF COMPLIANCE and (Part 1 of 4) MECH-1 C FIELD INSPECTION ENERGY CHECKLIST Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 Project Address 60800 Trilogy Parkway La Quinta Climate Zone 15 Total Cond. Floor Area 1,405 Addition Floor Area n/a GENERAL INFORMATION Building Type: ® Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. m Conditioned Spaces ❑ Unconditioned Spaces affidavit Phase of Construction: ❑ New Construction ❑ Addition ❑ Alteration Approach of Compliance: ❑ Component ❑ Overall Envelope TDV ❑ Unconditioned (file affidavit) Energy Front Orientation: N, E, S, W or in Degrees: 90 deg HVAC SYSTEM DETAILS FIELD INSPECTION ENERGY CHECKLIST E ui ment2 Inspection Criteria Meets Criteria or Requirements Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 HVAC - 1 ❑ ❑ Equipment T e3: Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 57,500 Btu/hr ❑ ❑ Minimum Heating Efficiency' 7.70 HSPF ❑ ❑ Max Allowed Cooling Capacity' 59,000 Btu/hr ❑ ❑ Cooling Efficiency' 13.5 SEER / 11.2 EER ❑ ❑ Duct Location/ R -Value Attic, Ceiling Ins, vented/ 8.0 ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS Yes ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ E ui ment2 Inspection Criteria FIELD INSPECTION ENERGY CHECKLIST Pass Fail — Describe Reason Item or System Tags i.e. AC -1, RTU -1, HP -1 HVAC -2 ❑ ❑ Equipment T e3: Split DX ❑ ❑ Number of Systems 1 ❑ ❑ Max Allowed Heating Capacity' 21,600 Btu/hr ❑ ❑ Minimum Hea . ting Efficiency' 10.00 HSPF ❑ ❑ Max Allowed Coolinq Capacity' 18,000 Btu/hr ❑ ❑ Cooling Efficiency' 19.0 SEER / 14.0 EER ❑ ❑ Duct Location/ R -Value n/a ❑ ❑ When duct testing is required, submit MECH-4A & MECH-4-HERS No ❑ ❑ Economizer No Economizer ❑ ❑ Thermostat Setback Required ❑ ❑ Fan Control Constant Volume ❑ ❑ 1. If the Actual installed equipment performance efficiency and capacity is less than the Proposed (from the energy compliance submittal or from the building plans) the responsible party shall resubmit energy compliance to include the new changes. 2. For additional detailed discrepancy use Page 2 of the Inspection Checklist Form. Compliance fails if a Fail box is checked. 3. Indicate Equipment Type: Gas (Pkg or, Split), VAV, HP (Pkg or split), Hydronic, PTAC, or other. JEnergyPro5.1byEnergySoft User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Pae 13 of 27 CJ CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 3 of 4) MECH-1 C Project Name Date Trilogy Golf Club -Aerobics & Storage 7/28/2011 Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below are all the acceptance tests for mechanical systems. The designer is required to check the applicable boxes by all acceptance tests that apply and listed all equipment that requires an acceptance test. If all equipment of a certain type requires a test, list the equipment description and the number of systems. The NA number designates the Section in the Appendix of the Nonresidential Reference Appendices Manual that describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Building Departments: Systems Acceptance: Before occupancy permit is granted for a newly constructed building or space, or a new space -conditioning system serving a building or space is operated for normal use, all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. Systems Acceptance: Before occupancy permit is granted. All newly installed HVAC equipment must be tested using the Acceptance Requirements. The MECH-1 C form is not considered a completed form and is not to be accepted by the building department unless the correct boxes are checked. The equipment requiring testing, person performing the test (Example: HVAC installer, TAB contractor, controls contractor, PE in charge of project) and what Acceptance test must be conducted. The following $! checked -off forms are required for ALL newly installed equipment. In addition a Certificate of Acceptance forms shall be submitted to the building department that certifies plans, specifications, installation, certificates, and operating and maintenance information meet the requirements of §10-103(b) and Title -24 Part 6. The building inspector must receive the properly filled out and signed forms before the building can receive final occupancy. TEST DESCRIPTION MECH-2A MECH-3A MECH-4A MECH-5A MECH-6A MECH-7A MECH-8A MECH-9A MECH-10A MECH-11A Hydronic Outdoor Constant Demand Supply System Automatic Ventilation Volume & Air Control Supply Valve Water Variable Demand For Single -Zone Distribution Economizer Ventilation Fan Leakage Temp. Flow Shed Equipment Re uirin Testing or Verification QtY. VAV & CAV Unitary Ducts Controls DCV VAV Test Reset Control Control Carrier 25HBC360/FX4BNC060 1 ❑ ® m ❑ ❑ ❑ ❑ ❑ ❑ ❑ Fujitsu 18RLQ 1 ❑ ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ . ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑- ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ EnergyPro 5.1 by EnergrySoft User Number. 6712 Run Code: 2011-07-28T12:59:38 ID: Pae 15 of 27 0 • CERTIFICATE OF COMPLIANCE and FIELD INSPECTION ENERGY CHECKLIST (Part 4 of 4) MECH-1 C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 TEST DESCRIPTION MECH-12A MECH-13A MECH-14A MECH-15A Fault Detection & Diagnostics Equipment Re uirin Testing Qty.for DX Units Automatic Fault Detection & Diagnostics for Air & Zone Distributed Energy Storage DX AC Systems Thermal Energy Storage (TES) S stems Test Performed By: Carrier 25HBC360/FX4BNC060 1 ❑ ❑ ❑ ❑ Fujitsu 18RLQ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ EnergyPro 5. 1 by Ene Soft User Number. 6712 RunCode: 2011-07-28T12:59:38 ID: Pae 16 of 27 0 L' IGHTING CONTROLS CREDIT WORKSHEET Part 1 of 2) LTG -2C Project Name Trilogy Golf Club -Aerobics & Storage Date 1 7/28/2011 POWER ADJUSTMENT FACTORS PAF FOR NON -DAYLIGHT CONTROLS A Separate PAF Worksheet Must Be Filled Out for Conditioned and Unconditioned Spaces. Control Credits listed on this schedule are only for: m CONDITIONED SPACES ❑ UNCONDITIONED SPACES A B C D E F G Watts of Power Room # Zone ID Plan Room Area Control Adjustments Areas Lighting Control Description' Reference(ft) Lighting Factor Control Credit Watts E x F Storage/Hall Occ Sensor - Multi -Level (2) 2X4 505 270 0.20 54 PAGE TOTAL 54 Note: Building total of non -daylight control credit watts for all pages of LTG -2C Pa e 1 of 2 Conditioned and Enter building total of all daylight controls credit watts from LTG -2C Page 2 of 2 0 Unconditioned Space shall be separately totaled BUILDING TOTAL OF ALL CONTROL CREDIT WATTS (FOR BOTH NON -DAYLIGHT AND DAYLIGHT CONTROL CREDITS) Enter in LTG -1C; Page 4: Lighting Control Credit as appropriate for CONDITIONED or UNCONDITIONED Spaces 54 1. Description shall be consistent with Type of Control defined in Table 146-C 2. Power Adjustment Factor taken from Table 146-C EnergyPro5.1byEnergySoft User Number., 6712 RunCode: 2011-07-28712:59:38 ID: Pae 17 of 27 • • IR SYSTEM REQUIREMENTS Project Name Trilogy Golf Club -Aerobics & Storage Indicate Air Systems T Item or System Tags h F i.e. AC -1, RTU -1, HP -1 HVAC- 1. Number of Systems 1 MANDATORY MEASURES Heating Equipment Efficiency Cooling Equipment Efficiency HVAC Heat Pump Thermostat Furnace Controls/Thermostat Natural Ventilation Mechanical Ventilation VAV Minimum Position Control Demand Control Ventilation Time Control Setback and Setup Control Outdoor Damper Control Isolation Zones Pipe Insulation Duct Location/ R -value Indicate P T-24 Sections 112 a 112 a 112(b), 112(c) 112(c), 115 a 121 b 121 b 121 c 121 c 122(e) 122(e) 122(f) 122 123 124 PRESCRIPTIVE MEASURES Calculated Design Heating Load Proposed Heating Capacity Calculated Design Cooling Load Proposed Cooling Capacity . Fan Control DP Sensor Location Supply Pressure Reset (DDC only) Simultaneous Heat/Cool Economizer Heat Air Supply Reset Cool Air Supply Reset Electric Resistance Heating' Air Cooled Chiller Limitation Duct Leakage Sealing. If Yes, a MECH-4-A must be submitted 144(a & 144(a & 144(a & 144(a & 144(c) 144(c) 144(c) 144(d) 144(e) 144(f) 144(f) 144 144(i) 144(k) Reference on PI 7.70 HSPF 13.5 SEER/ 11.2 EER Yes n/a Yes 208 cfm No No Programmable Switch Setback Required Auto n/a Attic, Ceiling Ins, vented /8.0 n/a 35,913 Btu/hr n/a 45,249 Btu/hr Constant Volume Yes No No Economizer Constant Temp Constant Temp Yes Part 1 of 2 Single Zone, Packac HVAC -2 1 lule and indicate the 10.00 HSPF 19.0 SEER / 14.0 EER Yes n/a Yes 76 cfm No No Programmable Switch Setback Required Auto n/a n/a n/a 13,491 Btu/hr n/a 15,924 Btu/hr Constant Volume Yes No No Economizer Constant Temp Constant Temp No ► MECH-2C Date 7/28/2011 VAV. or etc...) 01, Total installed capacity (MBtu/hr) of all electric heat on this project exclusive of electric auxiliary heat for heat pumps. If electric heat is used explain which exception(s) to §144(g) apply. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28712:59:38 /D: Pae 18 of 27 MECHANICAL VENTILATION AND REHEAT MECH-3C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 MECHANICAL VENTILATION §121 b 2 REHEAT LIMITATION (§144(d)) AREA BASIS OCCUPANCY BASIS VAV MINIMUM A B C D E F G H I J K L M N Zone/System Condition Area (ft2) CFM per ftz Min CFM By Area B X C Number Of People CFM per Person Min CFM by Occupant E X F REQ'D V.A. Max of D or G Design Ventilation Air CFM 50% of Design Zone Supply CFM B X 0.4 CFM / ftz Max. of Columns H, J, K, 300 CFM Design Minimum Air Setpoint Transfer Air Aerobics 900 0.15 135 13 208 HVAC - 1 Total 135 208 Storage 505 0.15 76 76 76 HVAC -2 Total 76 76 Totals Column I Total Design Ventilation Air C Minimum ventilation rate per Section 121, Table 121-A. E Based on fixed seat or the greater of the expected number of occupants and 50% of the CBC occupant load foregress purposes fors aces without fixed seating. H Required Ventilation Air REQ'D V.A. is the larger of the ventilation rates calculated on an AREA BASIS or OCCUPANCY BASIS Column D or G). I Must be greater than orequal to H, or use Transfer Air column N to make up the difference. J Design fan supply CFM Fan CFM x 50%; or the design zone outdoor airflow rate per 121. K Condition area(ft) x 0.4 CFM / ft2; or L Maximum of Columns H, J, K, or 300 CFM M This must be less than orequal to Column L and greater than orequal to the sum of Columns H plus N. N Transfer Air must be provided where the Required Ventilation Air (Column H) is greater than the Design Minimum Air (Column M). Where required, transfer air must be greater than or equal to the difference between the Required Ventilation Air Column H and the Design Minimum Air Column M), Column H minus M. EnergyPro 5. 1 by EnergySoft User Number. 6712 Run Code: 2011-07-28T12:59:38 ID: Pae 19 of 27 • ! i MECHANICAL EQUIPMENT DETAILS Part 1 of 2 MECH-5C Project Name Trilogy Golf Club -Aerobics & Storage Date 7/28/2011 CHILLER AND TOWER SUMMARY PUMPS Equipment Name Type Qty. Efficiency Pump Tons Ot . GPM BHP Control DHW / BOILER SUMMARY System Name Type Distribution Qty. Rated Input Vol. Energy Factor Standby Loss Tank Ext. (Gals). or RE or Pilot R -Value Status MULTI -FAMILY CENTRAL WATER HEATING DETAILS Hot Water Pump Hot Water Piping Length(ft) Control Ot HP Type In Plenum Outside Buried Add 1/2" Insulation CENTRAL SYSTEM RATINGS HEATING COOLING System Name Type aty. Output Aux. kW Eff iciency Output Eff iciency Status Carrier25HBC360/FX4BNC060 . Split DX 1 57,500 0.0 7.70 HSPF 59,000 13.5 SEER/ 11.2 EER New Fujitsu 18RLQ Split DX 1 21,600 0.0 10.00 HSPF 18,000 19.0 SEER/ 14.0 EER New CENTRAL SYSTEM FAN SUMMARY SUPPLY FAN RETURN FAN System Name Fan Type Economizer Type CFM BHP CFM BHP Carrier 25HBC360/1-X4BNC060 Constant Volume No Economizer 2,000 1.00 none Fujitsu 18RLQ Constant Volume No Economizer 412 0.12 none EnerqyPro5l by EnemySoft User Number. 6712 RunCode: 2011-07-28712:59:38 ID: Page 20 of 27 C • NVELOPE MANDATORY MEASURES: NONRESIDENTIAL ENV -MM Project Name Date Trilogy Golf Club -Aerobics & Storage 7/26/2011 DESCRIPTION Building Envelope Measures: - §118(a): Installed insulating material shall have been certified by the manufacturer to comply with the California Quality Standards for insulating material, Title 20 Chapter 4, Article 3. §118(c): All Insulating Materials shall be installed in compliance with the flame spread rating and smoke density requirements of Sections 2602 and 707 of Title 24, Part 2. §118(f): The opaque portion's of framed demising walls in nonresidential buildings shall have insulation with an installed R -value of no less than R-13 between framing members. All Exterior Joints and openings in the building that are observable sources of air leakage shall be caulked, gasketed, §117(a): weatherstripped or otherwise sealed. Manufactured fenestration products and exterior doors shall have air infiltration rates not exceeding 0.3 cfm/ft.2 of §116(a) 1: window area, 0.3 cfm/ft.2 of door area for residential doors, 0.3 cfm/ft.2 of door area for nonresidential single doors (swingingand sliding), and 1.0 cfm/ft.2 for nonresidential double doors (swinging). §116(a) 2: Fenestration U -factor shall be rated in accordance with NFRC 100, or the applicable default U -factor. Fenestration SHGC shall be rated in accordance with NFRC 200, or NFRC 100 for site -built fenestration, or the §116(a) 3: applicable default SHGC. Site Constructed Doors, Windows and Skylights shall be caulked between the unit and the building, and shall be §116(b): weatherstripped (except for unframed glass doors and fire doors). EnergyPro 5.1 by EnemySoft User Number., 6712 RunCode: 2011-07-28712:59:38 ID: Page 21 of 27 l I1 C • LIGHTING MANDATORY MEASURES: NONRESIDENTIAL LTG -MM Project Name Date Trilogy Golf Club -Aerobics & Storage 7/28/2011 Indoor Lighting Measures: §131(d): Shut-off Controls For every floor, all interior lighting systems shall be equipped with a separate automatic control to shut off the lighting. 1. This automatic control shall meet the requirements of Section 119 and may be an occupancy sensor, automatic time switch, or other device capable of automatically shutting off the lighting. 2 Override for Building Lighting Shut-off: The automatic building shut-off system is provided with a manual, accessible override switch in sight of the lights. The area of override is not to exceed 5,000 square feet. §119(h): Automatic Control Devices Certified: All automatic control devices specified are certified, all alternate equipment shall be certified and installed as directed by the manufacturer. §111: Fluorescent Ballast and Luminaires Certified: All fluorescent fixtures specified for the project are certified and listed in the Directory. All installed fixtures shall be certified. §131(a): Individual Room/Area Controls: Each room and area in this building is equipped with a separate switch'or occupancy sensor device for each area with floor -to -ceiling walls. Uniform Reduction for Individual Rooms: All rooms and areas greater than 100 square feet and more than 0.8 watts §131(b): per square foot of lighting load shall be controlled with bi-level switching for uniform reduction of lighting within the room. Daylight Area Control: All rooms with windows and skylights that are greater than 250 square feet and that allow for the effective use of daylight in the area shall have 50% of the lamps in each daylit area controlled by a separate switch; §131(c): or the effective use of daylight cannot be accomplished because the windows are continuously shaded by a building on the ad'acent lot. Diagram of shading during different times of the year is included on plans. §131(c): Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.6. Outdoor Lighting Measures: §130(c)1: Mandatory lighting power determination for medium base sockets without permanently installed ballasts All permanently installed luminaires with lamps rated over 100 Watts either have a lamp efficacy of at least 60 lumens §132(a): per Watt or are controlled by a motion sensor. All Luminaires with lamps rated greater than 175 Watts in hardscape area, including parking lots, building entrances, §132(b): canopies, and all outdoor sales areas meet the Cutoff Requirements. . §132(c)1: All permanently installed outdoor lighting meets the control requirements listed. Building facades, parking lots, garages, canopies, and outdoor sales areas meet the Multi -Level Lighting Requirements c §1 32 O' listed. EnergyPro 5.1 by EnergySoft User Number: 6712 RunCode: 2011-07-28712:59:38 ID: Page, 22 of 27 t • 1� MECHANICAL MANDATORY MEASURES: NONRESIDENTIAL MECH-MM Project Name Date Trilogy Golf Club -Aerobics & Storage 7/28/2011 Equipment and System Efficiencies §111: Any appliance for which there is a California standard established in the Appliance Efficiency Regulations will comply with the applicable standard. §115(a): Fan type central furnaces shall not have a pilot light. §123: Piping, except that conveying fluids at temperatures between 60 and 105 degrees Fahrenheit, or within HVAC equipment, shall be insulated in accordance with Standards Section 123. §124: Air handling duct systems shall be installed and insulated in compliance with Sections 601, 602, 603, 604, and 605 of the CMC Standards. Controls §122(e): Each space conditioning system shall be installed with one of the following: 1A. Each space conditioning system serving building types such as offices and manufacturing facilities (and all others not explicitly exempt from the requirements of Section 112 (d)) shall be installed with an automatic time switch with an accessible manual override that allows operation of the system during off -hours for up to 4 hours. The time switch shall be capable of programming different schedules for weekdays and weekends and have program backup capabilities that prevent the loss of the device's program and time setting for at least 10 hours if power is interrupted; or 1 B. An occupancy sensor to control the operating period of the system; or 1 C. A 4 -hour timer that can be manually operated to control the operating period of the system. Each space conditioning system shall be installed with controls that temporarily restart and temporarily operate the 2 system as required to maintain a setback heating and/or a setup cooling thermostat setpoint. Each space conditioning system serving multiple zones with a combined conditioned floor area more than 25,000 square feet shall be provided with isolation zones. Each zone: shall not exceed 25,000 square feet; shall be provided §122(g). with isolation devices, such as valves or dampers that allow the supply of heating or cooling to be setback or shut off independently of other isolation areas; and shall be controlled by a time control device as described above. Thermostats shall have numeric setpoints in degrees Fahrenheit (F) and adjustable setpoint stops accessible only to §122(c): authorized personnel. Heat pumps shall be installed with controls to prevent electric resistance supplementary heater operation when the §122(b): heating load can be met by the heat pump alone Each space conditioning system shall be controlled by an individual thermostat that responds to temperature within the zone. Where used to control heating, the control shall be adjustable down to 55 degrees F or lower. For cooling, the §122(a&b): control shall be adjustable up to 85 degrees F or higher. Where used for both heating and cooling, the control shall be capable of providing a deadband of at least 5 degrees F within which the supply of heating and cooling is shut off or reduced to a minimum. Ventilation Controls shall be provided to allow outside air dampers or devices to be operated at the ventilation rates as specified §121(e): on these plans. All gravity ventilating systems shall be provided with automatic or readily accessible manually operated dampers in all 22 f §1 ()' openings to the outside, except for combustion air openings. Ventilation System Acceptance. Before an occupancy permit is granted for a newly constructed building or space, or a §121(f): new ventilating system serving a building or space is operated for normal use, all ventilation systems serving the building ors ace shall be certified as meeting the Acceptance Requirements for Code Compliance Service Water Heating Systems §113(c) Installation 3. Temperature controls for public lavatories. The controls shall limit the outlet Temperature to 110° F. Circulating service water -heating systems shall have a control capable of automatically turning off the circulating pump 2 when hot water is not required. l EnergyPro 5.1 by EnergySoft User Number 6712 Run Code: 2011-07-28712:59:38 ID: Page 23 of 27 4 4 VAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Date rilogy Golf Club -Aerobics & Storage 7/28/2011 System Name Floor Area HVAC - 1 900 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL COOLING CFM Sensible Total Room Loads 1,198 19,186 Return Vented Lighting 0 Return Air Ducts 1,439 Return Fan 0 Ventilation 208 7,366 Supply Fan 2,978 Supply Air Ducts 1,439 PEAK COIL HTG. PEAK Heating System Latent CFM Sensible Output perSystem 57,500 4,154 922 12,620 Total Output Btuh 57,500 Output Btuh/s ft 63.9 946 Cooling System 0 Output perSystem 59,000 1,808 208 9,627 Total Output Btuh 59,000 -2,978 Total Output Tons 4.9 946 Total Output Btuh/s ft 65.6 TOTAL SYSTEM LOAD 32,407 5,961 Total Output s ft/Ton 183.1 21,162 Air System CFM perSystem 2,000 HVAC EQUIPMENT SELECTION Airflow cfm 2,000 Carrier 25HBC360/FX4BNC060 45,249 9,513 35,913 Airflow cfm/s ft 2.22 Total Adjusted System Output 45,249 (Adjusted for Peak Design conditions) 9,513 35,913 Airflow cfm/Ton 406.8 Outside Air % 10.4% 0.23 Outside Air cfm/s ft TIME OF SYSTEM PEAK Aug 3 PM Jan 1 AM Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 26 OF 65 OF 82 OF 83 OF PAR- 10 i C�) •`Y Outside Air 208 cfm Heating Coil Supply Fan 83 OF 2,000 cfm Roos . 70 OF 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112/78°F 82/68°F 61/60°F 62/60°F Outside Air Ar Supply Fan 63 / 60 OF 208 cfm Cooling Coil _...... 2,000 cfm........................._..._.... 53.8% I ROOM 78/66°F 79/66°F t EnergyPro 5.1 by EnergySoR User Number: 6712 Run Code: 2011-07-28712:59:38 ID: Page 24 of 27 i 4 4 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name rilogy Golf Club -Aerobics & Storage Date 7/28/2011 System Name HVAC -2 Floor Area 505 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 364 Return Vented Lighting Return Air Ducts Return Fan Ventilation 76 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COOLING PEAK Sensible 10,385 0 779 0 2,598 0 779 14,540 COIL HTG. Latent CFM 1,515 463 1,9941 76 3,509 PEAK Heating System Sensible Output perSystem 21,600 9,697 Total Output Btuh 21,600 Output Btuh/s ft 42.8 727 Cooling System 0 Output perSystem 18,000 3,413 Total Output Btuh 18,000 0 Total Output Tons 1.5 727 Total Output Btuh/s ft 35.6 Total Output s ft/Ton 336.7 14,565 Air System CFM perSystem 412 HVAC EOUIPMENT SELECTION Airflow cfm 412 Fujitsu 18RLQ 15,924 0 13,491 Airflow cfm/s ft 0.82 13,491 F Jan 1 AM Airflow cfm/Ton 274.7 Outside Air % 18.4% Total Adjusted System Output 15,924 (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 0 Aug 3P ml Outside Air cfm/s ft 0.15 Note: values above given at ARI conditions HEATING SYSTEM PSYCHROMETRICS jAirstream Temperatures at Time of Heating Peak 26 OF 61 OF Outside Air 76 cfm Supply Fan 412 cfm: 68 OF 61 OF 91 OF Heating Coil 90 OF :..:. ROOM 70 OF COOLING SYSTEM PSYCHROMETICS Airstream Temperatures at Time of Cooling Peak 112 / 78 OF 86165 OF 86 / 65 OF 49 / 48 OF Outside Air 76 cfm Supply Fan Cooling Coil 412 cfm 80/61 OF 51 / 49 OF 36.2% �. ROOM flow 78/61 OF EnergyPro 5.1 by EnergySoft User Number: 6712 Run Code: 2011-07-28T12:59:38 ID: Page 25 of 27 ZONE •A, SUMMARY • . Trilogy Goff Club -Aerobics & Storage Date to 712812011 System Name HVAC- 1 •0i ZONE LOAD COOLINGFIRM .. ..26. a ZONE LOAD SUMMARY Project Name Qoff Club -Aerobics & Storage Date 712812011 System Name HVAC -2 FloorTrilogy -. 505 ZONE LOAD SUMMARY COOLING PEAK .LOAD) .•. ..,,